| NPI | 1831317536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GARSON Chief Fianancial Officer 810-424-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2018-10-19 |